TEST BANK Community and Public Health Nursing: Evidence for Practice, 4th Edition (DeMarco), Chapters 1 - 25 | All Chapters with Correct Answers

TEST BANK
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Community and Public Health Nursing:
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Evidence for Practice, 4th Edition (DeMarco),
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Chapters1 - 25 |All Chapters
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,TABLE OF CONTENTS
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,Chapter 1: Public Health Nursing bb bb bb bb




1. A nurse is striving to practice patient-centered care at a hospital. Which action best
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bb exemplifies providing patient-centered care? bb bb bb




A) Having a client complete a self-reported functional status indicator and then
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bb reviewing it with the client bb bb bb bb




B) Explaining to a client the benefits of computer-assisted robotic surgical
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bb techniques, which the hospital recently implemented bb bb bb bb bb




C) Recording a client's signs and symptoms in an electronic health record
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D) Performing continuous glucose monitoring of a client while the client is in the
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bb hospital
ANS: A bb




Feedback:
Patient-centered care considers cultural traditions, personal preferences, values, families,
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bb and lifestyles. Clients become active participants in their own care, and monitoring health
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bb becomes the client's responsibility. To help clients and their healthcare providers make
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bb better decisions, the Agency for Healthcare Research and Quality (AHRQ) has
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bb developed a series of tools that empower clients and assist providers in achieving desired
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outcomes, including client-reported functional status indicators. Computer-assisted
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robotic surgical techniques, electronic health records, andcontinuous glucose monitoring in
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the hospital are all technological advances in healthcare, but they do not help the client
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become a more active participant in his or hercare, and thus are not good examples of
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patient-centered care.
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Origin: Chapter 1- Public Health Nursing, 2
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2. A nurse is caring for an older client who is struggling to manage her type 2 diabetes
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bb mellitus. The nurse should recognize which social determinants of this client's
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bb health? (Select all that apply.)
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A) Household income of $23,000 per year bb bb bb bb bb




B) Reading level of a third grader bb bb bb bb bb




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, C) Medication ineffective due to error in prescription bb bb bb bb bb bb




D) Originally from Sudan bb bb




E) No family in the area
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ANS: A, B, D, E b b bb bb bb




Feedback:
The social conditions in which people live, their income, social status, education, literacy,
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bb home and work environment, support networks, gender, culture, and availability of health
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bb services are the social determinants of health. These conditions have an impact on the
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bb extent to which a person or community possesses the physical, social, and personal
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bb resources necessary to attain and maintain health. A medical erroron the part of the client's
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bb primary care provider or nurse would not constitute a social determinant of the client's
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bb health.

3. A nurse successfully persuades an obese client to perform a weekly weigh-in at home
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bb using a digital scale and record the weight in a log. This strategy is an example of:
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A) Telehealth
B) Health information technology bb bb




C) Personal responsibility for health bb bb bb




D) Evidence-based nursing bb




ANS: C bb




Feedback:
Personal responsibility for health involves active participation in one's own health through
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bb education and lifestyle changes. In this case, the client makes a positive changein lifestyle
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bb by monitoring body weight weekly. Telehealth is the use of electronic information and
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bb telecommunications technologies to support long-distance clinical healthcare, client and bb bb bb bb bb bb bb bb




bb professional health-related education, public health, and health administration. Health
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bb information technology (HIT) is defined as the comprehensive management of health
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bb information and its exchange between consumers, providers, government, and insurers
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bb in a secure manner. Evidence-based nursing is the integrationof the best evidence
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available with clinical expertise and the values of the client to increase the quality of care.
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Origin: Chapter 1- Public Health Nursing, 4
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